NPI | 1962968388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24642) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043418-1) |
Enumeration Date | 2019-02-11 |
Last Update Date | 2020-05-12 |